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Showing posts with the label fentanyl

Sur-reality

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Just prior to tandem therapy, Leiney had gone to see Jenny and asked me to leave the room. I was leaving the room, but within earshot, when Leiney started. She told Jenny how sad she was about her mom's behavior and her failure to prioritize her children. She talked about the condoms that I found in Jenny's bag, and how disappointed she was in her mom. Jenny was shocked. I left the room, so I don't know all of what she said. As I retreated to the basement to talk to Abby--forgetting she was not home but at acting--I heard Jenny tell Leiney she had had picked up the condoms at a store as a joke. She grabbed them thinking it was funny that the store was giving out free condoms. Who knows? (Given her penchant for lying and cheating, I have an idea I know.) When tandem therapy began, for the first 30 minutes it was uneventful, the standard drill really.  At minute 31 I raised the issue of the condoms. I was calm. I was collected. I told the story of how I had found them, and t...

Rough Riders

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Entry 1    1:21 p.m. So, Jenny had me scrounging through her bag  a few moments ago, looking for something--a receipt--as she and her friends were trying to leave to go to Snoqualmie Falls. She is tripping balls on fentanyl, btw. I get a bag of hers and start pulling stuff out. I shake the bag and can still here something in it. I look inside, find a zipper, unzip the zipper and plunge my hand in to the depths. I put the contents on the ottoman: Sticks of gum, change, 💊💊💊 pills and: She told me explicitly in Sept of 2020, and with no reason to lie about such things, that she didn't use protection with el pinché. When she saw the condoms today she laughed, saying, "I can't remember where or why I got those." I responded, "I have an idea why you may have gotten those. Only one, though."

Birds in the Bush

 Entry 1     1:39 p,m.   I am in a meeting right now. It's 30 minutes.  Jenny and Moni are out, not sure where. Jenny's fentanyl patch has kicked in, and it is quite evident. It has impacted her response time, when you talk to her, her balance, her judgment. Along with the fentanyl, the palliative care doc told her to keep taking her other meds. She was on lots of drugs before, now it is so much I am concerned.  I suggested she not use the fentanyl patch anymore, after she told me the pain in her side is unimpacted by it--the reason she is using the fentanyl patch.  I hope she will reach out to Dr. B about this, but it doesn't require his approval to get off the drug. I mentioned judgment is a big problem. You may recall that Jenny was telling her friends a week ago when she found out that additional help was coming, how she was worried about seeing Eric.  It seems to be top of mind for her, even impaired. This morning, she texted Moni a...

Saints Preserve Us

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Entry 1. 9:31 a.m. Jenny is still in bed, but has talked to Edit at VM. We should expect some calls today. The reason the block never really worked is because the pain is coming from the duodenum, and the pressure is on nerves not deadened by the plexus block.  So, that makes sense.  She can't up her dosage of oxycodone, but they will likely prescribe a fentanyl patch for her.  They also have scheduled the procedure (placing of the stent) for the 27th, but support her coming in on Sunday inpatient.  More as I learn new information. I have been up since 3:43 a.m. worried about the implications of chemo. She is getting a pill six days a week, an infusion one. But if she keeps nothing down, what use is a pill? When she empties the contents of her stomach--she empties the entire contents of her stomach.  With her cancer raging, what is the point of this chemotherapy if she will just throw it up? She will absorb enough to get the side effects maybe, but to do any goo...